Organization
LAKESIDE PHYSICIAN ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD NAEEM M.D. (SOLE PROPRIETOR)
(504) 780-6453
Entity
Organization
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 305-6251
Mailing address
PO BOX 54477, NEW ORLEANS, LA 70154-4477
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
10199R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446645
—
LA
Enumeration date
09/27/2006
Last updated
08/22/2020
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